Provider First Line Business Mailing Address:
629 S. PLUMMER AVE., P.O. BOX 426
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHANUTE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66720-0426
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
620-431-4000
Provider Business Mailing Address Fax Number:
620-431-7556